ADVISORY COMMITTEE ON ANTARCTIC NAMES 

 U.S. BOARD ON GEOGRAPHIC NAMES 



ANTARCTIC NAME PROPOSAL 



NAME PROPOSED: 



DESCRIPTIVE DATA: Kind of feature 

 nautical miles distant from 



Lat. 



S Lono- 



W/E located 



in a 



direction. 



Map reference (map title, sheet number, etc.) 



Feature characteristics (size, shape, length, height, etc.) 



Photo reference (vertical, oblique, other) 



SUPPORTING DATA: Reason for choice 



Date discovered, seen, recorded, mapped, etc. 

 By whom 



Personal information (if an honoree) 



Expedition or field party 



Supporting data submitted (surveys, charts, photos, other) 



SUBMITTED BY; Name 

 Address 



Phone 



Title 



SEND FORM TO: U.S. Board on Geographic Names 

 Executive Secretary 



Headquarters, Defense Mapping Agency 

 8613 Lee Highway 

 Fairfax, Virginia 22031-2137 



Date 



Date received . 



XII 



